FORM 1023-EZ for SUMTER COUNTY FAMILY CONNECTION

Field Data
EIN 83-2075001
Case Number EO-2020027-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMTER COUNTY FAMILY CONNECTION
Organization’s Mailing Address 1601 N MLK BLVD STE 200
City AMERICUS
State GA
ZIP 31719
Accounting period End 6
Primary contact name JESSICA SINCLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA HAMBRICK
BOARD CHAIR
PO BOX 531
MONTEZUMA GA 31063

Officer/Director/Trustee Two

ANDREA INGRAM
BOARD VICE-CHAIR
1601 N MLK BLVD STE 200
AMERICUS GA 31719

Officer/Director/Trustee Three

SHELIA HINES
BOARD MEMBER
633 DISTRICT LINE ROAD
AMERICUS GA 31709

Officer/Director/Trustee Four

LORI GADSON
BOARD SECRETARY/TREASURER
PO BOX 6017
AMERICUS GA 31709

Officer/Director/Trustee Five

JESSICA SINCLAIR
EXECUTIVE DIRECTOR
1601 N MLK BLVD
AMERICUS GA 31719

Organization’s website SUMTER.GAFCP.ORG
Organization’s email SUMTERCFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA SINCLAIR
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/23/2020

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